Broadway Chemists Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

License

029080 Issued in NY

Legal business name

BROADWAY CHEMISTS INC.

Practice address

194 Broadway
Newburgh, NY 12550-5415

Phone

(845) 561-5253

Fax

(845) 561-7978

NPI assigned

Oct 21, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Lavanya Audhireddy

Title

Sec'Y/Tres.

Phone

(845) 561-5253

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ACE DRUGS Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Tax ID family

Ace Drugs2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Broadway Chemists Inc.

  • Long Term Care Pharmacy
  • Newburgh, NY
  • NPI 1114788098
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yusuf Elminshawy

  • Pharmacist
  • Newburgh, NY
  • NPI 1124683784
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602115200000",
    "number": "1306098595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 BROADWAY",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125505415",
            "telephone_number": "845-561-5253",
            "fax_number": "845-561-7978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 BROADWAY",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125505415",
            "telephone_number": "845-561-5253",
            "fax_number": "845-561-7978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADWAY CHEMISTS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-21",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A",
        "authorized_official_last_name": "AUDHIREDDY",
        "authorized_official_first_name": "LAVANYA",
        "authorized_official_title_or_position": "SEC'Y/TRES.",
        "authorized_official_telephone_number": "845-561-5253",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "029080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03032464",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACE DRUGS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ACE DRUGS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Edward Brantley III, LPN
• Colleen Breivogel
• Anna J Brigham, RN
• Sarah Helene Broadie
• Broadway Chemists Inc.
• Erin Kate Brodhead, MSED, CCC-SLP
• Elizabeth Ann Brondsky, RN
• Linda Brotman, LMSW
• Erik John Brower, D.C.
• Brown and Williams LCSW Psychotherapy PLLC

• All providers in Newburgh, NY
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.